Open AccessSpinal Fusion with Sacral Alar Iliac Pelvic Fixation in Severe Neuromuscular Scoliosis
Author(s) -
Krishna V. Suresh,
Ijezie Ikwuezunma,
Adam Margalit,
Paul D. Sponseller
Publication year - 2021
Publication title -
jbjs essential surgical techniques
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 7
ISSN - 2160-2204
DOI - 10.2106/jbjs.st.20.00060
Subject(s) - medicine , scoliosis , pelvic tilt , iliac crest , cerebral palsy , spinal fusion , pelvis , fixation (population genetics) , surgery , physical medicine and rehabilitation , population , environmental health
Neuromuscular scoliosis is characterized by rapid progression of curvature during growth and may continue to progress following skeletal maturity. Posterior spinal fusion in patients with cerebral palsy and severe scoliosis results in substantial improvements in health-related quality of life 1 . Correction of pelvic obliquity can greatly improve sitting balance, reduce pain, and decrease skin breakdown. The sacral alar iliac (SAI) technique has key advantages over prior techniques, including the Galveston and iliac-screw techniques. The SAI technique eliminates the need for subcutaneous muscle dissection over the iliac crest, does not require the use of connectors from the rod to the iliac screw, and decreases the risk of implant prominence 2 .